Organization
SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB W ZEIDERS MD (OWNER)
(954) 888-8997
Entity
Organization
Contact information
Practice address
1505 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2507
(954) 888-8997
(954) 762-9466
Mailing address
1505 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2507
(954) 888-8997
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME96535
FL
Other
Enumeration date
06/16/2011
Last updated
06/09/2016
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